Clinical & Experimental Cardiology
Open Access

Abstract

Double Whammy of Pulmonary Embolism Complicated by High-Degree Atrioventricular Block: A Case Report

Chaoneng Wu*, Sajith Silva, Anish Kondur, Mahi Shah, William E Harder and Sujata Kambhatla

High-degree Atrioventricular (AV) block is rare in acute Pulmonary Embolism (PE). We present a case of a 62-year-old woman experiencing recurrent PE complicated by Complete Heart Block (CHB). Her PE was classified as intermediate-low, and she was treated with a heparin infusion. Due to persistent CHB, a permanent pacemaker was implanted, and she was discharged with Rivaroxaban. We also conducted a review of 22 case reports involving PE and high-degree AV block. Our study highlights the importance of early identification of high-degree AV block in cases of acute PE. Continuous monitoring and timely intervention are crucial in managing these patients.

Published Date: 2025-08-15; Received Date: 2025-07-16